Grand Mal Convulsion after an Accidental Intravenous Injection of Ropivacaine

Anesthesia and Analgesia

Volumn 98, Issue 2, 2004, Pages 521-523

  Dernedde, Mira ^a   Furlan, Danièlle ^a   Verbesselt, René ^b   Gepts, Elisabeth ^a   Boogaerts, Jean G ^a  

^a Centre Hospitalier Universitaire de Charleroi   (Belgium)

^b UNIVERSITY HOSPITALS LEUVEN   (Belgium)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; CLONIDINE; EPHEDRINE; MIDAZOLAM; PROPOFOL; ROPIVACAINE; SODIUM CARBONATE; SUFENTANIL; SUXAMETHONIUM;

ADULT; ARTICLE; CASE REPORT; EPIDURAL ANESTHESIA; GRAND MAL SEIZURE; HEART ARRHYTHMIA; HIP ARTHROPLASTY; HUMAN; HYPOTENSION; MALE; PRIORITY JOURNAL; REGIONAL ANESTHESIA; RESPIRATORY ARREST;

EID: 1642541820     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000096008.24193.05     Document Type: Article

References (21)

1. Rutten AJ, Nancarrow C, Mather LE et al. Hemodynamic and central nervous system effects of intravenous bolus doses of lidocaine, bupivacaine and ropivacaine in sheep. Anesth Analg 1989;69:291-9.
2. Feldman HS, Arthur GR, Pitkanen M et al. Treatment of acute systemic toxicity after the rapid intravenous injection of ropivacaine and bupivacaine in the conscious dog. Anesth Analg 1991;73:373-84.
3. Scott DB, Lee A, Fagan D, et al. Acute toxicity of ropivacaine compared to that of bupivacaine. Anesth Analg 1989;69:563-9.
4. Knudsen K, Beckman Suurküla M, Blomberg S, et al. Central nervous and cardiovascular effects of IV infusions of ropivacaine, bupivacaine and placebo in volunteers. Br J Anaesth 1997;78:507-14.
5. Polley LS, Columb MO. Ropivacaine and bupivacaine: concentration on dosing. Anesth Analg 2003;96:1251-3.
6. Korman B, Riley RH. Convulsions induced by ropivacaine during interscalene brachial plexus block. Anesth Analg 1997;85:1128-9.
7. Plowman AN, Bolsin S, Mather LE. Central nervous system toxicity attributable to epidural ropivacaine hydrochloride. Anaesth Intensive Care 1998;26:204-6.
8. Abouleish EI, Elias M, Nelson C. Ropivacaine-induced seizure after extradural anaesthesia. Br J Anaesth 1998;80:843-4.
9. Ruetsch YA, Fattinger KE, Borgeat A. Ropivacaine-induced convulsions and severe cardiac dysrhythmia after sciatic block. Anesthesiology 1999;90:1784-6.
10. Klein SM, Benveniste H. Anxiety, vocalization, and agitation following peripheral nerve block with ropivacaine. Reg Anesth Pain Med 1999;24:175-8.
11. Ala-Kokko TI, Löppönen A, Alahuhta S. Two instances of central nervous system toxicity in the same patient following repeated ropivacaine-induced brachial plexus block. Acta Anaesthesiol Scand 2000;44:623-6.
12. Mardirosoff C, Dumont L. Convulsions after the administration of high dose of ropivacaine following interscalene block. Can J Anaesth 2000;47:1263.
13. Bisschop DY, Alardo JP, Razgallah B, et al. Seizure induced by ropivacaine. Ann Pharmacother 2001;35:311-3.
14. Müller M, Litz RJ, Hübler M, Albrecht DM. Grand mal convulsion and plasma concentrations after intravascular injection of ropivacaine for axillary brachial plexus blockade. Br J Anaesth 2001;87:784-7.
15. Chen-Hwan C, Chih-Shung W, Shung-Tai H. Ropivacaine-induced convulsion immediately after epidural administration. Acta Anaesthesiol Scand 2002;40:43-5.
16. Ould-Ahmed M, Drouillard I, Fourel D., et al. Convulsions induced by ropivacaine after midhumeral block. Ann Fr Anesth Rean 2002;21:681-4.
17. Lipka K, Bülow HH. Lactic acidosis following convulsions. Acta Anaesthesiol Scand 2003;47:616-8.
18. Forsythe SM, Schmidt GA. Sodium bicarbonate for the treatment of lactic acidosis. Chest 2000;117:260-7.
19. McClure JH. Ropivacaine. Br J Anaesth 1996;76:300-7.
20. Moore DC, Crawford RD, Scurlock JE. Severe hypoxia and acidosis following local anesthetic-induced convulsions. Anesthesiology 1980;53:259-60.
21. Weinberg GL. Current concepts in resuscitation of patients with local anesthetic cardiac toxicity. Reg Anesth Pain Med 2002;27:568-75.